Influencia del tratamiento farmacológico de la espasticidad en la fisioterapia de la parálisis cerebral

M.F. Lara-Romero , L. Perales López
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Abstract

Spasticity forms a part of the upper motor neuron syndrome and mostly affects children with cerebral palsy. Physiotherapy and drug treatment are among the therapeutic options for its treatment. However, the relationship between the physiotherapy approach and drug treatment of spasticity has not been well clarified in the literature yet.

Objective

This study has aimed to establish the influence of different drugs in the patient with spastic cerebral palsy and to propose physiotherapy intervention guidelines. Search strategy and selection of studies: a critical review was made of the literature in the main databases in English and Spanish.

Results

First, the definition of spasticity and how it evolves was up-dated. Next, the effects and applications of the most common drugs were analyzed. Finally, and based on the above-mentioned results, we set out a protocol within the context of the detection of needs and the elaboration of evaluable objectives agreed on with the patient and his/her family members.

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痉挛药物治疗对脑瘫物理治疗的影响
痉挛是上运动神经元综合征的一部分,主要影响脑瘫儿童。物理治疗和药物治疗是其治疗选择之一。然而,物理治疗方法与药物治疗痉挛之间的关系尚未在文献中得到很好的阐明。目的探讨不同药物对痉挛性脑瘫患者的影响,提出物理治疗干预指南。检索策略和研究选择:对英语和西班牙语主要数据库中的文献进行了批判性审查。结果首先,痉挛的定义及其演变是最新的。其次,分析了最常见药物的作用和应用。最后,在上述结果的基础上,我们制定了一项方案,在发现需求和制定与患者及其家属商定的可评估目标的范围内。
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